SPARTA TERRACE
NPI 1730246513
Intermediate Care Facility, Intellectual Disabilities in Sparta, IL

NPI Status: Active since January 02, 2007

Contact Information

1501 MELMAR DR
SPARTA, IL
ZIP 62286
Phone: (618) 443-2122

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 14D2146245
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 03-25-2028

About SPARTA TERRACE

This page provides the complete NPI Profile along with additional information for Sparta Terrace, a provider established in Sparta, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1730246513 assigned on January 2007. The practitioner's primary taxonomy code is 315P00000X with license number 0047787 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Sparta Terrace. The authorized official of this NPI record is Mr. Rob Keime (Cfo)

NPI
1730246513
Provider Legal Name
PROGRESSIVE HOUSING, INC.
Other Organization Name
SPARTA TERRACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1501 MELMAR DR SPARTA, IL 62286
Location Phone
(618) 443-2122
Mailing Address
2020 W WAR MEMORIAL DR SUITE 103 PEORIA, IL 61614
Mailing Phone
(309) 685-0595
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
0047787
License State
IL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROB KEIME

Authorized Official Title
CFO
Authorized Official Phone
(309) 685-0595

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2146245
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
March 26, 2026
Certificate Expiration Date
March 25, 2028
Laboratory Director
KARLA ROGERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sparta Terrace to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730246513, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 4 + 4 + 1 + 2 + 5 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1730246513.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapist
1501 MELMAR DR
SPARTA, IL 62286

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730246513, enumerated as an "organization" on January 02, 2007.

The provider is located at 1501 MELMAR DR SPARTA, IL 62286 and the phone number is (618) 443-2122.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.